South Counties Pediatric Critical Care Medical Group
LBN: South Counties Pediatric Critical Care Medical Group
South Counties Pediatric Critical Care Medical Group is an health care organization with primary practice located at 17100 Euclid St Attn: Picu, Fountain Valley CA 92708-4004. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is the primary health care specialty.
South Counties Pediatric Critical Care Medical Group can be contacted via phone (714) 966-7253, or through Reda, Zacharia via phone (714) 966-7253.
Contact Information
Primary practice address
17100 Euclid St Attn: Picu
Fountain Valley CA 92708-4004
Phone: (714) 966-7253
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ||
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | ||
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X |
Profile Details
| NPI number | 1609853688 |
|---|---|
| LBN Legal business name | South Counties Pediatric Critical Care Medical Group |
| DBA Doing business as | |
| Authorized official | Reda, Zacharia Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | May 28th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609853688 | NPPES |
| California | MEDICAID | ZZZ57330Z |
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